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Peripheral arterial aneurysms: A prospective study of 30 cases
Rojan Saadi Saleh1, Ashur Y Izac2, Aram Baram3
1Cardiothoracic and Vascular Surgery Unit, Azadi Hospital, Duhok Directorate of Health (DOH), Duhok, Kurdistan 42001, Iraq.
Biomedical Reports
|December 3, 2024
Summary
Open surgical repair of peripheral arterial aneurysms (PrAAs) using endoaneurysmorrhaphy demonstrates excellent outcomes. This effective treatment offers high patency rates and minimal limb loss, confirming its value in managing PrAAs.
Area of Science:
- Vascular Surgery
- Arterial Diseases
- Surgical Outcomes
Background:
- Peripheral arterial aneurysms (PrAAs) result from complex interactions between arterial wall biology and hemodynamics.
- Surgical repair is a primary treatment modality for PrAAs, necessitating evaluation of its short- and long-term efficacy.
Observation:
- A retrospective analysis reviewed 30 patients with 32 PrAAs treated over 10 years.
- Patients were categorized by presentation: asymptomatic (18.75%), chronic limb-threatening ischemia (62.5%), and acute limb ischemia (18.75%).
- Open repair via interposition graft (endoaneurysmorrhaphy) was performed, predominantly using autogenous great saphenous vein grafts.
Findings:
- The 2-year primary patency rate was 81.25% (26/32), with 90.47% for great saphenous vein grafts.
- Secondary patency for great saphenous vein grafts reached 95.23%.
- No mortality or amputation occurred within 30 days post-surgery; overall limb loss was 6.25%.
Implications:
- Open surgical repair, particularly endoaneurysmorrhaphy, is an effective treatment for PrAAs.
- The technique yields favorable outcomes, including high patency rates and low complication rates.
- This study supports the continued use of open surgical repair for managing peripheral arterial aneurysms.
